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Title VI Complaint Form LITTLE ROCK PORT AUTHORITY COMPLAINANT INFORMATION Name (first, middle, last)Address (number and street, city, state, ZIP code)Home telephone number Work telephone number () () PERSON

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How to fill out title vi complaint form

01

To fill out the Title VI complaint form, follow these steps:

02

Start by downloading the Title VI complaint form from the official website or request a copy from the relevant organization.

03

Fill in your personal information, including your full name, address, phone number, and email address.

04

Provide a detailed description of the incident or discrimination you experienced, including dates, times, and locations.

05

If there were any witnesses to the incident, list their names and contact information.

06

Explain how the incident violated your rights under Title VI and provide any supporting evidence or documentation.

07

Sign and date the completed complaint form.

08

Submit the form to the appropriate department or organization either by mail, email, or in person.

09

Keep a copy of the completed form for your records.

Who needs title vi complaint form?

01

Anyone who believes they have experienced discrimination or unfair treatment based on race, color, or national origin in programs or activities receiving federal financial assistance needs the Title VI complaint form. This includes individuals, organizations, or groups who have been directly affected or have witnessed such discrimination.

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What is title vi complaint form?

Title VI complaint form is a document used to report discrimination based on race, color, or national origin in programs or activities that receive federal financial assistance.

Who is required to file title vi complaint form?

Anyone who believes they have been discriminated against based on race, color, or national origin in a program or activity that receives federal financial assistance.

How to fill out title vi complaint form?

Title VI complaint forms can typically be filled out online, by mail, or in person. The form will typically ask for details about the discrimination incident and the contact information of the person filing the complaint.

What is the purpose of title vi complaint form?

The purpose of the Title VI complaint form is to provide a formal process for individuals to report discrimination and seek resolution through the appropriate channels.

What information must be reported on title vi complaint form?

The Title VI complaint form typically requires information such as the details of the discrimination incident, names of individuals involved, dates of the incident, and contact information of the person filing the complaint.

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